Medicaid disproportionate share and other special financing programs.
Date of Pub
Coughlin, Teresa A
Medicaid disproportionate share hospital (DSH) and related programs, such as provider-specific taxes or intergovernmental
transfers (IGTs), help support uncompensated care and effectively reduce State Medicaid expenditures by increasing Federal
matching funds. We analyze the uses of these funds, based on a survey completed by 39 States and case studies of 6 States.
We find that only a small share of these funds were available to cover the costs of uncompensated care. One method to ensure
that funds are used for health care would be to reprogram funds into health insurance subsidies. An alternative to improve
equity of funding across the Nation would be to create a substitute Federal grant program to directly support uncompensated
Data Collection : Economics, Hospital/trends : Health Care Reform : Health Expenditures/statistics & numerical data/trends
: Medicaid/legislation & jurisprudence/statistics & numerical data/utilization : State Health Plans/economics : Support, Non-U.S.
Gov't : Taxes : Uncompensated Care/economics/statistics & numerical data : United States